Active NPI
Gloria Wright, LCPC
- Professional Counselor
- Calumet City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-002413
- Practice address
- 61 Dogwood CT
Calumet City, IL 60409-5007 - Phone
- (708) 849-8289
- NPI assigned
- May 8, 2007
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-002413 | IL | Primary |
Addresses
Primary practice location
61 Dogwood CT
Calumet City, IL 60409-5007
Mailing address
17115 Maryland Ave
South Holland, IL 60473-3449
Phone (773) 919-1486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2340 S River Rd
Suite 231
Des Plaines, IL 60018-3212
Phone (240) 201-3386
7425 Janes Ave
Suite 205
Woodridge, IL 60517-2323
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-002413 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - Illinois | Current | Accepting new patients |
Locations
333 N Michigan Ave
Ste 1810
Chicago, IL 60601
Phone (217) 850-1133
7425 Janes Ave
Ste 205
Woodridge, IL 60517
Phone (217) 850-1133
Interoperability endpoints
- gloria.wright.1@13826.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1598978389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17115 MARYLAND AVE",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733449",
"telephone_number": "773-919-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 DOGWOOD CT",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095007",
"telephone_number": "708-849-8289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "GLORIA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-002413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.